European Journal of Biomedical and Pharmaceutical Sciences

COMPARISON OF VARIOUS SCORING SYSTEMS IN PATIENTS PRESENTING WITH UPPER GASTROINTESTINAL BLEEDING AND ITS CORRELATION WITH PROGNOSIS AND SURVIVAL

Dr. Imran Sayyed* and Dr. Amol Samarth

ABSTRACT

Objective: To Compare various scoring systems in patients presenting with upper gastrointestinal bleeding and its correlation with prognosis and survival. Design: Observational cross sectional study. Setting: Department of Gastroenterology, Government Medical College and Super specialty hospital, Nagpur, Maharashtra. Participants: 80 patients presenting with upper gastrointestinal bleeding were included in study. Main outcome Measures: Comparison of Full Rockall, AIMS-65, Glasgow Blatchford and PNED scores for their ability to predict clinical outcome in the form of Rebleeding, intervention needed, 1 month mortality and 3 month mortality. Results: Total 80 patients were included in the study. 72 patients were presented with haematemesis, 43 patients were presented with malena, 13 patients had syncope, 38 patients had H/o Alcoholism, 10 patients had hepatic disease, 1 patient had altered sensorium. Three patients at 1 month and seven patients at 3 month had Rebleeding. No patients had died at 1 month and 5 patients were died at 3 month. GBS score had highest sensitivity in predicting need of intervention and mortality. Full rockall and AIMS 65 scoring system also had high sensitivity in predicting need of intervention and mortality. PNED score had low sensitivity in predicting mortality but had high sensitivity in predicting need of intervention. Conclusions: The Glasgow Blatchford score has high accuracy for predicting need for hospital based intervention and death as compared to other scoring systems.

Keywords: Full Rockall, AIMS-65, Glasgow Blatchford and PNED.